# JAMES S NICHOLSONDDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699940064
- **Authorized official:** DR. JAMES S NICHOLSON DDS (OWNER/ PRESIDENT)
- **Authorized official phone:** (918) 682-6452

## Contact information

- **Practice address:** 730 CALLAHAN ST, MUSKOGEE, OK 74403-5143
- **Practice address phone:** (918) 682-6452
- **Practice address fax:** (918) 682-6505
- **Mailing address:** 730 CALLAHAN ST, MUSKOGEE, OK 74403-5143
- **Mailing address phone:** (918) 682-6452
- **Mailing address fax:** (918) 682-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3655 | OK | Yes |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 04/28/2008